If you have already completed part of the survey, you may continue where you left off.
All you need is the return code given to you previously. Click the link below to begin entering
your return code and continue the survey.

Please complete the questionnaires.

Page 1 of 4

Cannot select choice! The maximum number of choices has been selected.Value removed!

Loading...

The Program for Anxiety and Traumatic Stress Studies welcomes you to take the online self-assessment for posttraumatic stress disorder, or PTSD, and depression to help you evaluate your mood after experiencing a traumatic event, significant change in your professional or personal life, or routine stress on the job.

These assessments should be seen as a tool to help you explore your feelings, thoughts, and behaviors. It is not intended to take the place of an evaluation by a trained mental health professional. If you complete the assessments and feel that you might benefit from treatment, please reach out to a healthcare professional.

Please keep in mind that your answers are completely anonymous.

To learn more about the Program for Anxiety and Traumatic Stress Studies, visit us online at www.patss.com or www.facebook.com/cornellptsd or call us at 212-821-0783.

Post Traumatic Stress Disorder Checklist

INSTRUCTIONS: Below is a list of problems and complaints that people sometimes have in response to stressful life experiences. Please indicate how much in the PAST MONTH you have experienced each problem in response to the traumatic event.

1.

In the past month, have you experienced:

Repeated, disturbing memories, thoughts or images of the traumatic event and its aftermath?

If your score fell above the minimal range, your answers may be consistent with symptoms of PTSD. We highly recommend that you contact your provider or call Program for Anxiety and Traumatic Stress Studies at 212 821 0783.

Remember, this is NOT a diagnosis. Only a doctor or qualified mental health professional can make a diagnosis of PTSD and recommend treatments. No matter what you scored on this self-assessment, if you are concerned with your mental health or overall health, you should discuss your concerns with a doctor or mental health professional.

You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the
button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey,
you may click the other button below to continue, which will also remove the value of the option you just selected
to allow you to enter it again and continue the survey.

The response has now been removed for the last question for which you selected a value. You may now enter
a new response for that question and continue the survey.